Imaging Insights
Bowel Breakdown
Dizzy Dilemma
Cardiac Chronicles
Nifty Pneumonia
100

The administration of gadolinium contrast has been controversial due to this reported risk. 

What is nephrogenic systemic fibrosis?

100

Type of intestinal involvement seen in ulcerative colitis. 

What is continuous mucosal inflammation of the colon?


100

Medications are often the common culprit of a chief complaint of dizziness. Name 3 medications associated with dizziness. 

 

100

HFrEF is the diagnosis given when the EF is less than this percent. 

What is 40%?



100

The recommended treatment for PJP pneumonia AND duration of treatment

What is DS TMP-SMX for 21 days? 

200

The signal view for this abdominal MRI (Left image only)


What is T1 (with fat suppression)?

Water is dark on T1

200

Type of intestinal involvement in Crohns disease. 

What is segmental transmural inflammation anywhere in GI tract?



200

The diagnosis in a man with left sided hearing loss, tinnitus, and episodes of room spinning lasting about 1 hour. 

What is Meniere's disease?

200
Name the diagnostic criteria for heart failure. 

What are clinical findings only with some evidence of cardiac dysfunction?

200

This test is for when someone needs PJP pneumonia treatment but has an allergy to TMP-SMX. 

What is G6PD deficiency?


300

The signal view for this brain MRI: 

What is T2?

Water and fat are bright

300

The most common extraintestinal manifestation of inflammatory bowel disease. 

What is joint involvement? 

10-20% of cases

300

Diagnostic criteria for vestibular migraine.

Diagnostic criteria includes:

  •  5+ episodes of moderate/severe vestibular symptoms intensity lasting five minutes to 72h

  • current or previous history of migraine

  • one or more migraine features, and at least 50% with vestibular symptoms

  • and no other cause of vestibular symptoms

300

Name 2 mechanisms by which methamphetamine causes cardiomyopathy. 

What are sympathetic activation and direct cellular injury?


300

Prophylaxis for this is needed with a CD4 count <100.

What are toxoplasma and PJP pneumonia? 

400

This sequence is most useful for identifying embolic infarcts or MS within the brain. 

What is FLAIR? 

Fluid attenuated inversion recovery (removes signal from CSF)

400

Stool studies that should be completed for a patient being admitted with bloody diarrhea (5). 

E. Coli O157:H7

Shigella

Salmonella

Ova and parasite

C. difficile toxin

400

Your patient comes in with epsiodic vertigo, triggered by change in position. Demonstrate with a partner on your team, how you would treat this patient. 

Epley maneuver

400

Name the 4 GDMT medications recommended for decreasing mortality in HFrEF.

What are ARNI/ACEi/ARB, BB, MRA, and SGLT2 inhibitors?

400

2 indications from an ABG reading for which steroids should be initiated in PJP pneumonia. 

What is pO2 <70 mmHg and A-a gradient >35?
500

Please explain the physics of the MRI machine (does not have to be in question form). 

Hydrogen protons within the body align in a plane with the MRI magnetic field, and change planes when radiofrequency pulses are applied. 

500

The first-line treatment for induction of remission in ulcerative colitis. 

What are aminosalicylates (mesalamine, sulfasalazine)?

Rectal for proctitis

Oral and rectal for left-sided involvement

500

Please name demonstrate with a partner in your team this 3 part critical bedside exam for someone presenting with acute vertigo. 


500
The EMPEROR trial in 2021 demonstrated benefit from adding this medication to patients with HF and EF >40%. 

What is empagliflozin? 

Reduction in hospitalizations and CV mortality

500

Name 5 diagnoses in your differential for a positive fungitell assay. 

What are PJP, cocci, blasto, histo, aspergillosis, candida, cryptococcus (may be false positive)?

M
e
n
u